Health department spokeswoman Janice Okubo says Fuddy was on the island for an annual visit to Kalaupapa, a remote peninsula that is a leprosy settlement run by the state. Hawaii once exiled people with leprosy, or Hansen's disease, to the settlement from 1866 through 1969.

As director, Fuddy was in charge of several health operations for the state. Most recently, her department transitioned its system for marriage licenses to allow gay couples to wed under a new state law.